Jocelyn Mitchell, BCBA

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

1-19-38501 Issued in FL

Practice address

7633 Park Hill Ave
Leesburg, FL 34748-6140

Phone

(352) 874-2986

NPI assigned

Feb 8, 2018

Last updated

Jul 28, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Impact Behavior Supports, Inc

  • Community/Behavioral Health Agency
  • Leesburg, FL
  • NPI 1144844119
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690502400000",
    "number": "1801395504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490843",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347490843",
            "telephone_number": "352-874-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7633 PARK HILL AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347486140",
            "telephone_number": "352-874-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JOCELYN",
        "credential": "BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "1-19-38501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minnie A Mincy, RN
• Patricia Ming
• Rick Minniear, P.T.
• Mirrah Image Services LLC
• Mish Home Care Services, LLC
• Patricia Mlekodaj, RBT
• Dorothy Moat, AUD
• Rakhshinda Moeen, D.O.
• Alfred H Moffett Jr., M.D.
• Douglas Hughes Moffett, M.D.

• Behavior Analyst in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.